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BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation I Roof Sheathing Jltlltl .,1 'U14t l?n sl4, ! sLtp eL-.{La-.(, Shear Wall ' rcpLa"- o &i.u Framing c.? /b.- -.-J lnsulation/Energy ihu.t , ' Drywall Brown Coat Masonry Pool Fence T-Bar Handica p Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL '),?,11 a,d., Certificate of Occupancy Notes rks u OWN',N BUII,DER DETTARATION I h6.by .Iftu un& Frny ol p.!ry rhr I m cr@F nln rlE corr.cl6 Lac.e L$ for l,E folk*se la$. lsa 7011 5 ABi'B !n Poft{Nn Cod.): tu, Cny or Cody whah rqsiE r Frr lo @*ntu i .td. inp.otq ddmlirh ot lF.n &y ittuduqFturoil] is@ce tL. r.qun6 c.ppltdr aor.ucfi Fnhro fi!. ! sg.cl nnG6r thd lE or !h. ir licd!.d p! !I ro rhc FovirbE of $. Conlrlclor! Lic.nEd L.w (Ch!pl6 9, Comtrins rith Selioo 7000 ot Didlio. I of tlE AuiK ud ProtsioN Cod.) d rhd h. * tlE ir ddnal Gd.too .d rlE b-a fo. tlE .lle.d qapti,.. An, vbLrbn oa Sdin! 701 I 5 by &y rrtli.ad lo. ! pcnit rubjal3 rh. .ppli@t ro r otil p.qny of nor mrc $r liv. huodr.d &,UE (1500). -1. ! o{s oarh. Fopalr, tr my 6phtc *nh slt6 s tlEir $k comFEnr'! yill & tlt *6r !d ,E rMR ii ml idd!.!.d G .lIdd rd rl (SE 7O!1. SBiB Dd Piol6.bB Co<l TlE cdrdd , l-i!@ r,w <tE d Tlry t6 d ow ol th. proDdty $ ho toil& or sp.oE tlEor od utu &q,Et N.l fii@lr o, h*lf or thmugh hit m hd o{n q'prty6. prorii.d rhir luh idF.166ls @ mt n dd.d orolEld tur xL lt howa. tL hlildi'g or idFnvad i! $ld eilhin oR Jr of 6qlab( dE GE ed& will lEt rtr hrld' orFovils rL lr d dE dd ml hnB or hV..E dE FtFq for tlE F,Dc of -1. BolrG otth. FpqV, e Gr.l6ivcl,.otu <rh8 with licaB d codr..loE lo con!rud llt roj6l (S< 7044. BGi.s .d hoE t Co&: Tt Cod,..roir Lte L!* dG mr .pply ro & orG olFoFdy $lF bdilt3 or ihprcc lhs6.. ud *ho @mxr! tra.h p.lidt{ith. coffido(r lid!.d Frdd rorlE Conr.rd't LalE tr*l I m.(mrr!tuld sarirn .! &P('forth6rcB,. Drr.: O*n6:_ ]Ia8trEsa:gtutEMAIIo! DECIJEAIqB I hdrty.rm u.d.r Fdy olFjlryoE oflh. folh*ng &leirb6: _l nav. ed will roi.r.i, . ( dific.r. of coMr b S.la-lN!r. for sorlra .onrp.nuriun, a Fnvi.l.d for by Salhn t700 of th. l.bor codq lo. rh. Ftolruc. of lhcso for*hkhrh.Fnh it 6su.d I h.v. Md will mrinrlin wo 6a conFdilion iNumc. D ..quu!d t7y sdio. .1700 of in bh.r Cod., fot lh. Frotu. !f 1r work6! onpqBdion iauo...@id ril Flty nu'nts u.: n ol 7d.- -l .d'ry lhll i. rhc Ffo.rl4. 016. *orl ac rhi.n rht Fni' t isucl, I ndl mr Enploy e! Fen in 4y Ir,llE $ a ro bG.om. subjet to rhc won6'conp.tsnion liw! of Crlilodn. ed lsr rhd if I rnoud b.com. 5ubj6l lo llEq'oll6' $flF!.lhn prortioG of Sdion 1700 of rh. tlLor C.d.. I ln.ll ftnhwnh mpry wnh $o* FnvBioa.w^txl G F.ihs io s@ r 16' otrpqdion svq.s. ir uh*tu1 rd !h.ll .utF x dDploF b simin l FulE.d cnil 6n6 up r. oR hlndrcd 'hB.d {trUE (tlu)6n r. rh. .d of ro6FM'ion, &mg6 E Fold.d ror lh. sucri$ 1r)r6.lrlr I rlrtr ( (\1.. trtr.'.sr rtr(trritrncv t8 Drct ^ ltaTtoN I h6l6t .rIm ui& FElr}of Fluy rhr t 6 liEE d urb Frli36n of Chrda 9 (onll:rirts f,nh Salbn 7000) ol Diviiotr ] of $. B6i,B dd Prq&nn.G Cod.. rn m, liaE lr in tuI for rn.lIdr '""It'"5])t-ot 3/tf6Jltr-a- co!lla!(I:Il]!.lj!Dl!lilg[!Lr I h@by itId und6 p6a]ly o r Fjlry rhd rh6c is . odrudion kndhs .loc, for lh. p6fode.c of rh. *otl lor whici lha psnn i is.d(Sd 109?. Cir C ) AffucaNlDfctllallo! I halby .lrm u.d.r Fiahy of Fjury of,. of thc followiry dcchdionsl tttehion Pmi!A!b.n6 Norilicdr io. F.da.l R.guhioN(rnL40. P.n6) -Rcqurcd tr(g ol N,ni&nb. _l .dit rh, dE f.d6.l r.3lh rB r.*!dus ab6to3 romr rl e or rp?lk.bh b rhl! proF -l corify rhd I tu!. @d rhi! rp?licrio. jd .td. thd rh. lhoE infomlio. i corrl. LsrG ro clnply *irh .U Cn) &d Counry odine6 dd shl. l!*i ELlbg to toiltti.g .orsnciior &'d h6.by luttrtut rcF6alIiv6 6f rhi! Cily !d Couly ro dro upn t >|Blttiili:;vVK-") I Ir L.nd6', N.ft _ Forms/Steel/Holdowns Ext./lnt. Lath I //o//q ('ctuzril,*-